A list of the most recent deficiencies for Continental Springs, LLC. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-24 | 2023-10-26 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-08-22 | 2023-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-22 | 2023-10-01 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-08-22 | 2023-10-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-22 | 2023-08-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-03 | 2022-08-26 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-08-03 | 2022-08-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-03 | 2022-08-26 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-08-03 | 2022-08-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-03 | 2022-08-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-03 | 2022-08-26 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-01 | 2022-08-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-01 | 2022-08-26 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-08-01 | 2022-08-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-01 | 2022-06-20 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-01 | 2022-06-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-13 | 2021-05-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-13 | 2021-05-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-04-13 | 2021-05-12 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-04-13 | 2021-05-12 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-04-13 | 2021-05-12 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-04-13 | 2021-05-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-13 | 2021-05-12 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-04-13 | 2021-05-12 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-04-13 | 2021-05-12 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-04-13 | 2021-05-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-13 | 2021-05-12 | Y |
| Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2021-04-13 | 2021-05-12 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-04-13 | 2021-05-12 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-13 | 2021-05-12 | Y |
| Post nurse staffing information every day. | Health | 2021-04-13 | 2021-05-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-13 | 2021-05-12 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-13 | 2021-05-12 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-13 | 2021-05-12 | Y |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2021-04-13 | 2021-05-12 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-04-07 | 2021-05-12 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-04-07 | 2021-05-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-07 | 2021-05-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-07 | 2021-05-12 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-04-07 | 2021-05-12 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2021-04-07 | 2021-05-12 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2021-04-07 | 2021-05-12 | N |
